Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin

Wound healing requires a non-compromising combination of inflammatory and anti-inflammatory processes. Human α1-antitrypsin (hAAT), a circulating glycoprotein that rises during acute-phase responses and during healthy pregnancies, is tissue-protective and tolerance-inducing; although anti-inflammato...

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Main Authors: Alon Gimmon, Lior Sherker, Lena Kojukarov, Melodie Zaknoun, Yotam Lior, Tova Fadel, Ronen Schuster, Eli C. Lewis, Eldad Silberstein
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/13/7364
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author Alon Gimmon
Lior Sherker
Lena Kojukarov
Melodie Zaknoun
Yotam Lior
Tova Fadel
Ronen Schuster
Eli C. Lewis
Eldad Silberstein
author_facet Alon Gimmon
Lior Sherker
Lena Kojukarov
Melodie Zaknoun
Yotam Lior
Tova Fadel
Ronen Schuster
Eli C. Lewis
Eldad Silberstein
author_sort Alon Gimmon
collection DOAJ
description Wound healing requires a non-compromising combination of inflammatory and anti-inflammatory processes. Human α1-antitrypsin (hAAT), a circulating glycoprotein that rises during acute-phase responses and during healthy pregnancies, is tissue-protective and tolerance-inducing; although anti-inflammatory, hAAT enhances revascularization. hAAT blocks tissue-degrading enzymes, including neutrophil elastase; it is, therefore, unclear how wound healing might improve under hAAT-rich conditions. Here, wound healing was examined in the presence of recombinant hAAT (hAAT<sup>WT</sup>) and protease-inhibition-lacking hAAT (hAAT<sup>CP</sup>). The impact of both hAAT forms was determined by an epithelial cell gap closure assay, and by excisional skin injuries via a microemulsion optimized for open wounds. Neutrophilic infiltration was examined after 8 h. According to results, both hAAT forms accelerated epithelial gap closure and excisional wound closure, particularly at early time points. Unlike dexamethasone-treated wounds, both resulted in closed borders at the 8-h time point. In untreated and hAAT<sup>CP</sup>-treated wounds, leukocytic infiltrates were widespread, in hAAT<sup>WT</sup>-treated wounds compartmentalized and in dexamethasone-treated wounds, scarce. Both hAAT forms decreased interleukin-1β and increased VEGF gene expression. In conclusion hAAT improves epithelial cell migration and outcomes of in vivo wounds irrespective of protease inhibition. While both forms of hAAT allow neutrophils to infiltrate, only native hAAT created discrete neutrophilic tissue clusters.
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spelling doaj.art-6e0d41351a664ed0a8517c5dadd8b8d02023-11-23T20:12:34ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-07-012313736410.3390/ijms23137364Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-AntitrypsinAlon Gimmon0Lior Sherker1Lena Kojukarov2Melodie Zaknoun3Yotam Lior4Tova Fadel5Ronen Schuster6Eli C. Lewis7Eldad Silberstein8Department of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, IsraelDepartment of Plastic and Reconstructive Surgery, Soroka University Medical Center, Beer-Sheva 8410101, IsraelWound healing requires a non-compromising combination of inflammatory and anti-inflammatory processes. Human α1-antitrypsin (hAAT), a circulating glycoprotein that rises during acute-phase responses and during healthy pregnancies, is tissue-protective and tolerance-inducing; although anti-inflammatory, hAAT enhances revascularization. hAAT blocks tissue-degrading enzymes, including neutrophil elastase; it is, therefore, unclear how wound healing might improve under hAAT-rich conditions. Here, wound healing was examined in the presence of recombinant hAAT (hAAT<sup>WT</sup>) and protease-inhibition-lacking hAAT (hAAT<sup>CP</sup>). The impact of both hAAT forms was determined by an epithelial cell gap closure assay, and by excisional skin injuries via a microemulsion optimized for open wounds. Neutrophilic infiltration was examined after 8 h. According to results, both hAAT forms accelerated epithelial gap closure and excisional wound closure, particularly at early time points. Unlike dexamethasone-treated wounds, both resulted in closed borders at the 8-h time point. In untreated and hAAT<sup>CP</sup>-treated wounds, leukocytic infiltrates were widespread, in hAAT<sup>WT</sup>-treated wounds compartmentalized and in dexamethasone-treated wounds, scarce. Both hAAT forms decreased interleukin-1β and increased VEGF gene expression. In conclusion hAAT improves epithelial cell migration and outcomes of in vivo wounds irrespective of protease inhibition. While both forms of hAAT allow neutrophils to infiltrate, only native hAAT created discrete neutrophilic tissue clusters.https://www.mdpi.com/1422-0067/23/13/7364corticosteroidsinfiltrationinflammationdirected mutationneutrophilsVEGF
spellingShingle Alon Gimmon
Lior Sherker
Lena Kojukarov
Melodie Zaknoun
Yotam Lior
Tova Fadel
Ronen Schuster
Eli C. Lewis
Eldad Silberstein
Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin
International Journal of Molecular Sciences
corticosteroids
infiltration
inflammation
directed mutation
neutrophils
VEGF
title Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin
title_full Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin
title_fullStr Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin
title_full_unstemmed Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin
title_short Accelerated Wound Border Closure Using a Microemulsion Containing Non-Inhibitory Recombinant α1-Antitrypsin
title_sort accelerated wound border closure using a microemulsion containing non inhibitory recombinant α1 antitrypsin
topic corticosteroids
infiltration
inflammation
directed mutation
neutrophils
VEGF
url https://www.mdpi.com/1422-0067/23/13/7364
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